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1013172477
HARRY MIGUEL GREEN
PLACERVILLE, CA
NPI
1013172477
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: CA 13578T)
Enumeration Date
2008-07-25
Last Update Date
2022-06-09
Business Address
Dr. HARRY MIGUEL GREEN O.D.
4641 MISSOURI FLAT RD
PLACERVILLE, CA 95667-6816
Phone number: 510-642-0749
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Mailing Address
Dr. HARRY MIGUEL GREEN O.D.
4327 GOLDEN CENTER DR
PLACERVILLE, CA 95667-6287
Phone number: 530-621-7700
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